{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,27]],"date-time":"2023-10-27T10:43:41Z","timestamp":1698403421558},"reference-count":12,"publisher":"Akademiai Kiado Zrt.","issue":"40","license":[{"start":{"date-parts":[[2022,10,2]],"date-time":"2022-10-02T00:00:00Z","timestamp":1664668800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2022,10,2]]},"abstract":"<jats:p>A k\u00e9s\u0151i degener\u00e1ci\u00f3 a homografttal t\u00f6rt\u00e9n\u0151 rekonstrukci\u00f3k ismert sz\u00f6v\u0151dm\u00e9nye.\n                    Ezen graftokat gyakran infekt k\u00f6rnyezetben, kor\u00e1bbi m\u0171t\u00e9t sor\u00e1n be\u00fcltetett m\u0171\u00e9r\n                    elfert\u0151z\u0151d\u00e9se eset\u00e9n alkalmazzuk. Ilyenkor egy harmadik nyitott m\u0171t\u00e9t jelent\u0151s\n                    mortalit\u00e1ssal j\u00e1rhat. Eset\u00fcnkben egy t\u00f6bbsz\u00f6r oper\u00e1lt hasban,\n                    homograft-degener\u00e1ci\u00f3 talaj\u00e1n kialakult, tartott ruptura transaxillaris\n                    megk\u00f6zel\u00edt\u00e9sb\u0151l t\u00f6rt\u00e9n\u0151 endovascularis m\u0171t\u00e9tj\u00e9t mutatjuk be. A 69 \u00e9ves f\u00e9rfi\n                    beteg k\u00f3rel\u0151zm\u00e9ny\u00e9ben Leriche-szindr\u00f3ma miatt 2010-ben aortobiiliacalis\n                    bypassm\u0171t\u00e9t szerepel. 2018-ban aortoduodenalis fistula miatt reoper\u00e1ci\u00f3 t\u00f6rt\u00e9nt\n                    homograft alkalmaz\u00e1s\u00e1val, melyet jobb oldali, femoralis szint\u0171 amput\u00e1ci\u00f3\n                    k\u00f6vetett. A beteg 2021-ben akut hasi f\u00e1jdalom miatt jelentkezett, melynek\n                    h\u00e1tter\u00e9ben a krioprezerv\u00e1lt allograft tartott ruptur\u00e1ja igazol\u00f3dott. Az\n                    elz\u00e1r\u00f3dott jobb graftsz\u00e1r \u00e9s a meszes bal arteria (a.) femoralis communis nem\n                    volt alkalmas a felvezet\u00e9sre. \u00c1ltal\u00e1nos \u00e9rz\u00e9stelen\u00edt\u00e9sben, ultrahangvez\u00e9rl\u00e9s\n                    mellett percutan bal a. axillaris puncti\u00f3t v\u00e9gezt\u00fcnk. A laesi\u00f3kon val\u00f3 \u00e1tjut\u00e1st\n                    k\u00f6vet\u0151en h\u00e1rom 8 \u00d7 57 mm-es fedett sztentet depon\u00e1ltunk distalisan, majd egy 16\n                    mm-re ut\u00f3t\u00e1g\u00edtott, 12 \u00d7 57 mm-es eszk\u00f6zt illesztett\u00fcnk az a. renalis\n                    sz\u00e1jad\u00e9kokhoz. Biztons\u00e1gi okokb\u00f3l az axillaris puncti\u00f3t ell\u00e1t\u00e1sa el\u0151tt bal\n                    oldali a. radialis puncti\u00f3t v\u00e9gezt\u00fcnk. A z\u00e1r\u00f3eszk\u00f6z\u00f6k depon\u00e1l\u00e1s\u00e1t k\u00f6vet\u0151en az\n                    angiogr\u00e1fi\u00e1s k\u00e9peken az a. axillaris kritikus sz\u0171k\u00fclete mutatkozott. A laesi\u00f3t\n                    transradialis megk\u00f6zel\u00edt\u00e9sb\u0151l egy 9 \u00d7 37 mm-es fedett sztenttel sikeresen\n                    kezelt\u00fck. A beteget m\u00e1snap elbocs\u00e1tottuk. A 30 napos kontroll k\u00e9palkot\u00f3\n                    vizsg\u00e1laton az aneurysmazs\u00e1k teljes kiz\u00e1r\u00e1sa \u00e1br\u00e1zol\u00f3dott. A\n                    homograft-degener\u00e1ci\u00f3 hat\u00e9konyan kezelhet\u0151 fedett sztentek alkalmaz\u00e1s\u00e1val. A\n                    transaxillaris megk\u00f6zel\u00edt\u00e9s a komplik\u00e1lt transfemoralis felvezet\u00e9si \u00fat\n                    alternat\u00edv\u00e1j\u00e1t k\u00e9pezheti, melynek biztons\u00e1ga n\u00f6velhet\u0151 az \u00e9rintett oldal\n                    transradialis puncti\u00f3j\u00e1val. Orv Hetil. 2022; 163(40): 1606\u20131609.<\/jats:p>","DOI":"10.1556\/650.2022.32595","type":"journal-article","created":{"date-parts":[[2022,11,19]],"date-time":"2022-11-19T03:15:16Z","timestamp":1668827716000},"page":"1606-1609","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":1,"title":["Degener\u00e1lt aortahomograft percutan transaxillaris rekonstrukci\u00f3ja"],"prefix":"10.1556","volume":"163","author":[{"given":"\u00c1kos","family":"B\u00e9rczi","sequence":"first","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, Intervenci\u00f3s Radiol\u00f3giai Tansz\u00e9k Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anita Nelli","family":"Simon","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, Intervenci\u00f3s Radiol\u00f3giai Tansz\u00e9k Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00e1bor","family":"Szab\u00f3","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, \u00c9rseb\u00e9szeti \u00e9s Endovaszkul\u00e1ris Tansz\u00e9k Budapest, Hat\u00e1r\u0151r \u00fat 18., 1122 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Csaba","family":"Csobay-Nov\u00e1k","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, Intervenci\u00f3s Radiol\u00f3giai Tansz\u00e9k Budapest Magyarorsz\u00e1g"},{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, Semmelweis Aortacentrum Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"ref0","doi-asserted-by":"publisher","first-page":"671","DOI":"10.1067\/mva.2001.112314","article-title":"Prosthetic graft infection after descending thoracic\/thoracoabdominal aortic aneurysmectomy: management with in situ arterial allografts","volume":"33","author":"1 Kieffer","year":"2001","unstructured":"1 Kieffer E, Sabatier J, Plissonnier D, et al. 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